ArticleMedecine tropicale et sante internationale2025
[Post-stroke epilepsy: First data from Niger].
Article in Medecine tropicale et sante internationale, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Post-stroke epilepsy is defined as unprovoked seizures occurring in a person with a history of stroke after all other causes have been excluded. Objective: This study aimed to determine the epidemiological, clinical, radiological, and evolutionary characteristics of post-stroke epilepsy in the neurology department of the general referral hospital in Niamey, Niger. The study was retrospective, descriptive, and analytical, and it was conducted over a period of 29 months. Results. A total of 4,765 patients were included in the study, 21 of whom were diagnosed with post-stroke epilepsy. This represents a hospital prevalence of 4.4%o. The sex ratio was 0.75. The average age was 64. Ischemic stroke (IS) was the most common type, accounting for 81% of cases, with lesions most often occurring in the superficial territory of the middle cerebral artery. Seizures were focal in 52.4% of cases and occurred late, within one to two years. Most patients were treated with monotherapy, primarily with carbamazepine. Conclusion: The outcome was favorable in 71.5% of cases with appropriate treatment.
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